FISCAL NOTE
Date Requested: January 31, 2019
Time Requested: 01:45 PM |
| Agency: |
Public Employees Insurance Agency (PEIA) |
|---|
| CBD Number: |
Version: |
Bill Number: |
Resolution Number: |
| 2862 |
Introduced |
SB488 |
|
|---|
| CBD Subject: |
Insurance, State Personnel |
|---|
|
FUND(S):
PEIA Basic Insurance
Sources of Revenue:
Special Fund
Legislation creates:
Fiscal Note Summary
Effect this measure will have on costs and revenues of state government.
The purpose of this bill is to require a pharmacy benefit manager who contracts with the state to provide certain information to the state and to covered individuals.
PEIA has reviewed this bill and determined there is no fiscal impact. PEIA, as the plan sponsor, currently receives such information as required by this bill. PEIA’s current pharmacy benefit manager (PBM) contract is a pass-through contract that disallows a difference between the amount charged PEIA for a prescription and the amount paid the pharmacy for the same prescription.
PEIA would suggest that the reporting required by this bill be exempt from the freedom of information act (FOIA) due to proprietary data disclosure concerns. Although PEIA is currently in a pass-through PBM contract, and this bill is unnecessary at this time, PEIA would advise against any provisions that would prevent a spread contract in the event it is chosen to be more affordable in future PBM arrangements.
Fiscal Note Detail
| Effect of Proposal |
Fiscal Year |
2019
Increase/Decrease
(use"-") |
2020
Increase/Decrease
(use"-") |
Fiscal Year
(Upon Full
Implementation) |
| 1. Estmated Total Cost |
0 |
0 |
0 |
| Personal Services |
0 |
0 |
0 |
| Current Expenses |
0 |
0 |
0 |
| Repairs and Alterations |
0 |
0 |
0 |
| Assets |
0 |
0 |
0 |
| Other |
0 |
0 |
0 |
| 2. Estimated Total Revenues |
0 |
0 |
0 |
Explanation of above estimates (including long-range effect):
Please explain increases and decreases in personal services, current expenses, repairs and alterations, assets, other costs and revenues, including assumptions and data sources and delineation between start-up and ongoing costs. Please also include a long-range schedule of costs and revenues if fiscal impact is expected to vary in future years.
Memorandum
Although PEIA is currently in a pass-through PBM contract, and this bill is unnecessary at this time, PEIA would advise against any provisions that would prevent a spread contract in the event it is chosen to be more affordable in future PBM arrangements.
Person submitting Fiscal Note: Jason Haught
Email Address: jason.a.haught@wv.gov